title: The evolution of damage control orthopedics: current evidence and practical applications of early appropriate care.
abstract: This article summarizes the evolution of literature and practice related to fracture care in polytrauma patients. Particular emphasis is given to the management of femoral shaft fractures and the concept of damage control in these complex patients. The application of these guidelines in common clinical practice is also discussed.
authors.affiliation: Department of Orthopaedics, Walter Reed National Military Medical Center, 8901 Wisconsin Avenue, Bethesda, MD 20889, USA; Department of Orthopaedics, R Adams Cowley Shock Trauma Center, University of Maryland School of Medicine, 22 South Greene Street, Baltimore, MD 21201, USA.
authors.forename: Jean-Claude G
authors.initials: JC
authors.lastname: D'Alleyrand
authors.forename: Robert V
authors.initials: RV
authors.lastname: O'Toole
mesh_terms: D005592:Fracture Fixation; D050723:Fractures, Bone / Q000601:surgery* / Q000628:therapy; D006801:Humans; D009104:Multiple Trauma / Q000601:surgery* / Q000628:therapy; D013997:Time Factors
keywords: Damage control orthopedics; Early appropriate care; Early total care; Polytrauma